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김아진,김준식,신동운,백광제,한승백,이용주 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3
Traditionally, the Rhododendron species has been used in gastrointestinal disorder or hypertension. Grayanotoxin exists in honey, flowers, pollen, and the nectar of the Rhododenron species. We experienced 3 cases of Grayanotoxin intoxication. The symptoms of intoxication were nausea, vomiting, hypotension, bradycardia, diplopia, dizziness, and chest discomfort. Generally, the treatment for Grayanotoxin intoxication is fluid resuscitation and injection of atropine sulfate. The patients who were intoxicated with Grayanotoxin were discharged without complication after supportive care.
유동호,김형아,허용,성재혁,이한기,박용규 한국산업위생학회 2003 한국산업보건학회지 Vol.13 No.1
The aim of this study was to evaluate exposure to dust and endotoxin produced while working at swine confinement buildings. The dusts and endotoxin may cause adverse health effects on humans. Fourteen swine farms located at Yong-In, I-Cheon and Yeo-Ju of onggi-do were investigated. Husbandry workers form the farms were requested to wear personal sampler to measure respirable dust levels. Area samplings for total and respirable dust were also conducted at swine confinements buildings by season (summer under window open, winter under window close.) Gravimetric analyses and Limulus Amebocyte Lysate assay for measu- rement of dust level and endotoxin, respectively. The highest geometric mean (GM) concentration of airbome dusts was 7.47mg/㎡ for area respirable dust. and 10.35mg/㎡ for personal respirable dust. For respirable dust levels, seven farmers exceeded level of ACGIH, 3mg/㎥. The highest GM of endo- toxin was 5745.40 EU/㎥ for personal respirable dust. Significantly increased level of total dust (p〈0.001) and endotoxin in area total dust was observe with winter samples compared with those of summer. Area total dust and area respirable dust (r-0.622, p〈0.0001) was very significantly correlated in winter. Swine husbandry worker may have a considerable risk of ill health whenexposed to level of dust or endotoxin demonstrated at this study.
영양교육이 체중조절 프로그램에 미치는 효과에 관한 연구
장은재,임경아,한용봉 한국식품영양학회 1999 韓國食品營養學會誌 Vol.12 No.2
영양교육이 체중조절에 미치는 영향을 알아보고자 여대생을 대상으로 영양교육을 시킨 그룹과 시키지 않은 그룹으로 나누어 8주간 체중조절 프로그램을 실시하여 체중, 체질량 지수, 체지방 비율, 표준체중 비율 등은 두 그룹 모두 유의적으로 감소하였다. 영양교육을 받은 NE group은 영양 교육을 받지 않은 DO group보다 크게 감소하였다. NE group은 8주 동안 꾸준하게 감소되는 반면, DO group은 4주 동안 감소하였지만, 스스로 조절하는 5주부터 8주 동안에는 변화가 없었다. NE group은 체중조절 프로그램이 진행되는 동안 교육의 효과로 열량 및 탄수화물, 단백질과 지방의 섭취량이 유의적으로 감소하였다. DO group은 열량 섭취량 및 탄수화물, 단백질과 지방이 처음 4주 동안 감소하였으나, 5주부터 8주 동안은 약간씩 증가하였다. 혈청 지질의 농도는 NE group이 Total-cholesterol과 LDL-cholesterol이 유의적으로 감소하였고, DP group의 triglyceride는 처음보다 유의적으로 증가되었다. 영양교육을 포함한 체중조절 프로그램은 체중, 체지방 및 혈청 지질농도를 감소시켰고, 감소 수준을 오랫동안 유지할 수 있었다. This study attempted to evaluate the effectiveness of nutrition education on a weight control program. The major components of nutrition education in this program, held for 8 weekly sessions, were the general nutrition information about the diets, especially low fat, high carbohydrate hypocaloric diets, methods of increasing physical activity, strategies for the maintenance of proper body weight, and other information related to the prevention of obesity. Twenty five female college students participated in this program. All subjects were randomly assigned to the Nutrition Education(NE) group or the Diet Only(DO) group. Mean energy intake of the NE group was 1,230㎉(CHO:61%, PRO:15%, FAT:24%), DO group consumed 1,472㎉(CHO:58%, PRO:16%, FAT:26%). The NE group lost 3.3±0.7㎏ of body weight. In contrast, the DO group lost 1.8±0.6㎏. The NE group experienced a significant decrease in cholesterol, LDL-cholesterol level, however, the DO group significantly increased in triglyceride. The results of this study suggest that progressive nutrition education in a weight control program might reduce body weight and serum lipids concentration.
침 시술로 발생한 Non-O1, Non-O139 Vibrio cholerae에 의한 패혈증
임태섭,지아영,이중희,장수연,김인수,김영주,김범경,김승업,박준용,안상훈,한광협,김도영 Ewha Womans University School of Medicine 2013 EMJ (Ewha medical journal) Vol.36 No.S
Vibrio cholerae is mainly known to cause gastrointestinal infection after seawater exposure or raw seafood intake. It is rarely reported to cause cellulitis or sepsis, but threre has been no known case after acupuncture. Herein, We report a 56-year-old cirrhotic patient of non-O1, non-O139 Vibrio cholerae septicemia caused by cellulitis of both lower extremities after acupuncture.
Han Ahram,Min Sangil,Jo Eun-Ah,Lee Hajeong,Kim Yong Chul,Han Seung Seok,Kang Hee Gyung,Ahn Yo Han,Oh Inseong,Song Eun Young,Ha Jongwon 대한진단검사의학회 2024 Annals of Laboratory Medicine Vol.44 No.1
Background: Whether anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody levels post-third coronavirus disease (COVID-19) vaccination correlate with worse outcomes due to breakthrough infection is unclear. We evaluated the association between anti-SARS-CoV-2 antibody levels and symptomatic breakthrough infection or hospitalization during the Omicron surge in kidney transplant recipients. Methods: In total, 287 kidney transplant recipients expected to receive a third vaccination were enrolled between November 2021 and February 2022. The Abbott SARS-CoV-2 IgG II Quant test (Abbott, Chicago, IL, USA) was performed within three weeks before and four weeks after the third vaccination. The incidence of symptomatic breakthrough infection and hospitalization from two weeks to four months post-third vaccination was recorded. Results: After the third vaccination, the seropositive rate and median antibody titer of the 287 patients increased from 57.1% to 82.2% and from 71.7 (interquartile range [IQR] 7.2–402.8) to 1,612.1 (IQR 153.9–5,489.1) AU/mL, respectively. Sixty-four (22.3%) patients had symptomatic breakthrough infections, of whom 12 required hospitalization. Lower anti-receptor-binding domain (RBD) IgG levels (<400 AU/mL) post-third vaccination were a risk factor for symptomatic breakthrough infection (hazard ratio [HR]=3.46, P<0.001). Anti-RBD IgG levels <200 AU/mL were a critical risk factor for hospitalization (HR=36.4, P=0.007). Conclusions: Low anti-spike IgG levels after third vaccination in kidney transplant recipients were associated with symptomatic breakthrough infection and, particularly, with hospitalization during the Omicron surge. These data can be used to identify patients requiring additional protective measures, such as passive immunization using monoclonal antibodies.